NPIMap

Organization Active NPI

Seattle Foot & Ankle Clinic

  • Podiatrist
  • Seattle, WA
National Provider Identifier
1396923348
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0000034O Issued in WA
Legal business name
SEATTLE FOOT & ANKLE CLINIC
Practice address
9501 5TH Ave NE
Seattle, WA 98115
Phone
(206) 525-0306
Fax
(206) 526-5422
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rex Z Nison, DPM
Title
Pres Physician
Phone
(206) 525-0306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO0000034O WA Primary

Addresses

Primary practice location

9501 5TH Ave NE
Seattle, WA 98115

Mailing address

9501 5TH Ave NE
Seattle, WA 98115
Phone (206) 525-0306

Other identifiers 1

IdentifierTypeStateIssuer
8473464MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1396923348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-525-0306",
            "fax_number": "206-526-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 5TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-525-0306",
            "fax_number": "206-526-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE FOOT & ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "NISON",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRES PHYSICIAN",
        "authorized_official_telephone_number": "206-525-0306",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO0000034O",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8473464",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.